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NPI Code Detail

MEDICARE: DR. PETER MICHAEL M.D.

MEDICARE: DR. PETER MICHAEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianME127046FL
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianME127046FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972898815
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER MICHAEL M.D.
Provider Business Mailing Address
First Line : 2020 PONCE DE LEON BLVD STE 103
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4475
Country : US
Telephone Number : 305-224-8850
Fax Number : 855-940-6025
Provider Business Practice Location Address
First Line : 2020 PONCE DE LEON BLVD STE 103
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4475
Country : US
Telephone Number : 305-224-8850
Fax Number : 855-940-6025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2011
Last Update Date : 02/01/2024

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Directions to “ DR. PETER MICHAEL M.D.” Practice Location

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